results mean age of patients was 59.47 (sd = 12.48) years, of which 75 (75.8%) were male and 24 (24.2%) were female. based on univariable analysis, white blood cell (wbc) count, pain duration, lv function, maximal st-change, thrombus grade and eccentricity were identified as predictors of the no-reflow phenomenon. after multivariable logistic regression: wbc count and thrombus grade remained th...

background: this study was designed to examine a unique and low dose use of intravenous enoxaparin in elective percutaneous coronary intervention (pci) that would be applicable to an unselected population regardless of age, weight, and renal function. there is limited experience in anticoagulation using intravenous low-molecular-weight heparin in pci. methods: a total of 100 consecutive patient...

background: stenting is currently the standard of care in percutaneous coronary intervention (pci). whether young patients remain at increased risk after pci in the present stent era has not been investigated widely. we evaluated angiographic characteristics and short- and mid-term outcomes in patients younger than 40 years of age who underwent pci. methods: from april 2003 to march 2005, prosp...

background: controversy persists over the potential benefits/harms of opium consumption in coronary heart disease. this study investigated the association between 12 months' major adverse cardiac events (mace) and pre-procedural opium consumption among patients undergoing percutaneous coronary intervention (pci). methods: retrospectively, 1545 consecutive men who underwent pci between 21 st   j...

introduction: no-reflow phenomenon in coronary vessels, manifested in some patients with reperfused acute myocardial infarction (mi), is associated with poor clinical and functional outcomes. therefore, evaluation of predisposing risk factors can be helpful in risk assessment and identification of patients at higher risk. herein, we aimed to study the predictive factors for the development of n...

background: studies have shown controversial effects of obesity on major adverse cardiac events (mace) after percutaneous coronary intervention (pci). we sought to investigate the impact of the body mass index (bmi) on the mid-term outcome following successful pci. methods: between march 2006 and august 2008, 3948 patients underwent successful elective pci in tehran heart center, tehran, iran, ...

regardless of the clinical setting, a good back-up represents one of the most important conditions to ensure guide wire and balloon advancement and stent delivery. as a “mother and child” system, the guideliner catheter (vascular solutions inc., minneapolis, mn, usa) provides an extension to the guide catheter with better coaxial alignment and stability. we report two didactic cases showing the...

background: patients with chronic stable angina often have a state of sympathetic hyperactivity. it is considered associated with myocardial ischemia and disappears after ischemia elimination. the aim of this study was to investigate the changes in heart rate variability parameters, a noninvasive technique for the evaluation of the autonomic nervous system activity, after successful revasculari...

conclusions an adjuvant therapy with tlc diet and supplementation with q10 and lc seems to be required for secondary prevention following mi and pci. tlc diet and q10 plus lc appeared to be effective in inflammatory biomarkers of isr as well as ldl reduction. methods this single-blind randomized controlled trial was conducted on 128 subjects. after randomization for treatment allocation, the su...

conclusions preoperative echocardiography, applied before elective and emergency percutaneous coronary interventions, plays a key role in detecting many intervention-related complications in the post-intervention period. case presentation a 65-year-old male patient was admitted to the emergency department and acute inferolateral myocardial infarction was diagnosed. the left atrial hematoma as a...